ML20196J166

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Bran-Shon,Inc QA Program
ML20196J166
Person / Time
Site: 07100653
Issue date: 02/03/1988
From:
BRAN-SHON, INC.
To:
Shared Package
ML20196J137 List:
References
NUDOCS 8803140174
Download: ML20196J166 (33)
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4 BRAN-SHON, INC. QUALITY ASSURANCE PROGRAM

1.~ 0 L ORGANIZATION'

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1.1.

The Radiation Safety. Organizational Chart outlines the structu're:of Bran-Shon, Inc.'s Radiation.-Safety Program with : reference to' Management, Radiographers, and Assist-ant'Radiographers.- (See~ Attachment #1) 2.0 RE9PONSIBILITIES 2.1 The. President'has overall corporate; responsibility.and serves as the Chief Operating Officer.

In this capacity, the President participates in management of (1) Quality-

Assurance, '(2) Radiation' Safety, (3) Finances, and'

'(4) Marketing.

2.2 The NDE Operation Manager is responsible.for the_overal11 implementation.of the Radiation Safety Program.

9e is responsible-for assuringLthat equipment: deviations and'~

non-compliances are evaluated _ and that defects arid non-l compliances that:could cause substantial.radiatJ.on safety

, j hazards are reported to the NRC as required-by 10 CPR, Part 21 or as required by; State regulations.

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2.3 The Radiation Safety _ Director '(RSD) is responsible for the administration of the Radiation Safety Program and for assuring that the activites of Radiographic personnel are trained in accordance with applicable procedures and regulations, i,

He shall also:

2.3.1 Act as. Bran-Shon', Inc.'s liasion officer with the i

USNRC and State agencies on all license matters.

i 2.3.2 Develop and maintain current' operating and i

emergency procedures.

. i 2.3.3 Establish, conduct, and/or supervise the Training _

Program for Radiographic Personnel. (RSTP) 2.3.4 Examine or have Assistant RSD's examine and deter-mine the qualification and competency of Radio-graphic Personnel.

2.3.5 Evaluate instances of excessive personnel radiation exposure, equipment deviations, or procedure, license regulation non-compliances to determine 1

if such instances are required to be reported to the Regulatory Agency, and make such reports, if' j

required, as designated by the NDE Operations Manager.

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BRAN-SHON, INC. QUALITY ASSURANCE' PROGRAM 2.0 ~ RESPONSIBILITIES (cont. )

n 2.3.6 Adsume' control and initiate' corrective actionJin.

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emergency situations.

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.2.3.7' Investigate the cause~of incidentsfand~ determine-any necessary preventive action..

2.3.8 "Maintain' control.~over the following:

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A.

Procurement and disposal;of licensed radio-active material.

B.

' Personnel Monitoring Program C.

Radiaiton Survey. Instrument Calibra' tion Program D.

. Radioactive.Mateial Quarterly Inventory' E.

Source Leak Testing Program F.

Internal Auditing' System-2.4 The Assistant Radiation Safety Director (s) ' are. responsible for radiation duties,which include'the following:

2.4.1 Procuring and maintaining radiation survey instruments 2.4.2 Establishing and maintaining radioisotope storage facilities 2.4.3 Maintaining exposure devices'and associated equipment 2.4.4 Conducting quarterly inventories 2.4.5 Maintaining all reports,. records, and correspondence relating to radiation safety.

2.4.6 Forwarding copies of reports and records to the Radiation Safety Director 2.4.7 Reporting to the Radiation Safety Director as required.

2.4.8 Performing Radiographer's Performance Audits I

2.4.9 Other duties assigned by;the Radiation Safety Director

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2.4.10 All Assistant Radiation Safety Directors shall have a minimum of one year. experience as a certified

. Radiographer using radiographic exposure ~ equipment, and personnel monitoring equipment'.

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T BRAN-SHON, INC. QUALITY ASSURANCE PROGRAM-

'2. 0 ~ RESPONSIBILITIES (cont.)

2.5 The RadiographerLis responsible for.the safe use and handling of by-product materials and X-Ray-machines whilel performing a radio' graphic assignment.

He will-lalso:-

2.5.1 Ascertain that all regulations and' procedures-

, pertaining.to Radiation Safety are' strictly ad-

'hered tai prior.to, during, and after.a-radio-graphic exposure.

Any deviation-from' written:

-procedure isijust cause'for termination of employment.

2.5.2 Personally supervise (watch) all assistant radi-ographers under his charge while that assistant is using. radiographic exposure' devices or.. conducting surveys after an exposure.

2.5.3 Notify the Assistant RSD.or the Radiation Safety.

Director concerning instances of radiographic equipment deviations or items of procedure, license, or regulation non-compliance, notediat

'his location.

2.6 The Assistant Radiographer is responsible for the proper use of radiographic exposure devices and survey.instru-ments while performing;a radiographic assignment'while under the personal supervision'of a radiographer.

3.0 DOCUMENT CONTROL 3.1 The Radiaticn Safety Director shall be directly responsible for all documents pertaining to Radiation Safety.

4.0 CONTROL Of EQUIPMENT

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i 4.1 The Radiation Safety Director.shall be directly responsible i

for the control of all radiographic equipment pertaining o Radiation Safety.

5.0 INTERNAL AUDITING SYSTEM 5.1 The Radiation Safety Director and/or his Assistant Radiation Safety Director (s) shall audit Radiographers and Assistant Radiographers at intervals not to exceed three (3) months to assure compliance with Bran-Shon, Inc.'s Operating and Emergency Procedures, and applicable USNRC and/or State Rules and Regulations.

5.2 Audits shall be conducted on an announced and unannounced basis at the discretion of the Auditor.

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BRAN-SHON,.INC. QUALITY ASEURANCE PROGRAM <

'5.0 INTERNAL AUDITING SYSTEM a.

5.3 Records of Radiographers.and Assistant.Radiographers-shall be retained'by Bran-Shon, Inc.!s~ Radiation Safety Director.

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6.O SHIPPING,' RECEIVING, AND TRANSPORTATION'OF RADIOACTIVE'

. MATERIALS

'6'.1 See Attachment #2, RS-GP-12 Procedure-7.0 RECORDS 7.1 The Radiation Safety, Director is responsible for s,

all Radiation Safety Records.

7.2 See Attiachment # 3 for Bran-Shon,,Inc.'s sample Record' Forms.

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r BRAN-SHON, INC. QUALITY ASSURANCE PROGRAM-Attachment #1 RADIATION SAFETY ORGANIZATIONAL CHART l

l PRESIDENT l

Charles'D. Moore i

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i NDE OPERATIONS MANAGER

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Mike J.

Medal RADIATION SAFETY DIRECTOR Mike J. Medal ASST. RADIATION SAFETY DIRECTOR RADIOGRAPHERS 1

ASSISTANT RADIOGRAPHERS I

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BRAN-SHON, INC. QUALITY ASSURANCE PROGRAM Attachment # 2 s

RADIATION SAFETY GENERAL PROCEDURE 12 SHIPPING, RECEIVING, AND TRANSPORTATION OF RADIOACTIVE MATERIALS F

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P.O. BOX 451 DEERFIELD, OH 44411 PROCEDURE SHIPPING, RECEIVING AND TRANSPORTING IDENTIFICATION RADIOACTIVE MATERIAL 1.0 SCOPE This procedure describes the shipping, receiving, and transporta-j tion proceddres of Bran-Shon, Inc.

The transportation of radio-1 active materials is governed by the rules and regulations of the U.S.

Nuclear Regulatory Commission, 10 CFR, PART 71, and the U.S.

a Department of Transportation, 49 CFR, PARTS 170 through 189 and PART 397.

2.0 RESPONSIBILITIES 2.1 It is the responsibility of the Radiographer to assure that the procedures are followed without deviation.

2.2 It is the responsibility of the Radiation Safety Director to establish, prior to transfer of radioactive materials to or between shops or field sites, that qualified personnel are at the shop or field site and that the radioactive material j

licenses are current where the shipment is to be received.

l 2.3 It is the responsibility of the supplier of by-product mater-ials to ship radioisotopes to Bran-Shon, Inc. or field sites j

1 in approved containers and in accordance with all applicable g

rules and regulations.

L 2.4 It is the responsibility of common or contract carriers, in-cluding air-carriers, to assume the responsibility for adher-j ence to Federal and State rules and regulations governing the i I

transportation of radioactive materials whenever radioactive f

materials are in their possession under a shipping contract 1

with Bran-Shon, Inc.

l 2.5 It is the responsibility of Bran-Shon's employee assigned to transport radioactive materials in any vehicle under the con-trol of Bran-Shon, Inc. to comply with these procedures with-out deviation.

l RS-GP-12 PAGE 1 0F 14 REVISION DATE j

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BOX 451 DEERFIELD, OH 44411 SHIPPING, RECEIVING AND TRANSPORTING RADIOACTIVE MATERIAL 1

3.0 DEFINITIONS OF TERMS 3.1 RECEIVING - means the acceptance of a radioactive material l

shipment from a carrier (trucking company or cargo airline).

A receipt can take place at either the carrier's terminal or ;

at Bran-Shon, Inc.'s Shop or field location.

3.2 SHIPPING - means the presentation of a radioactive material shipment to a carrier (trucking company or cargo airline).

3.3 TRANSPORTING - means the transferring of radioactive material between Bran-Shon, Inc. or to or from a carrier's terminal using only Bran-Shon, Inc.'s vehicle.

3.4 BRAN-SHON, INC. VEHICLE - means any motor vehicle owned or leased by Bran-Shon, Inc., or any private motor vehicle (such as an automobile) operated by Bran-shon, Inc. employee while that employee is engaged in activities related to his job.

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4.0 USE OF SHIPPING AND RECEIVING PROCEDURES 4.1 For routine operations, sources shall be shipped, received, l

andtransportedinaccordancewiththeapplicableprocedure,-l as indicated by the procedure title.

Each step of the appli-$

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cable procedure shall be completed.

4.2 For special situations (such as shipments of multiple sources)',

additional and/or alternate instructions will be provided by the Radiation Safety Director's Office.

J 5.0 RECEIVING SOURCES FROM A CARRIER 5.1 If a radioactive material package is delivered by the carrier, it must be accepted at the time it is delivered.

5.2 If a radioactive material package is to be held at the car-rier's terminal for pickup, arrangements must be made to re-ceive notification from the carrier of the arrival of the RS.GP-12 ISSUE DATE OCT.191987 Pact 2 or 14 i

REVISION DATE I

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BOX 451 DEERFIELD, OH 44411 PROCEDURE SHIPPING, RECEIVING AND TRANSPORTING IDENTIFICATION RADIOACTIVE MATERIAL 5.0 RECEIVING SOURCES FROM A CARRIER (cont.) 5.2 J

package at the time of arrival.

The package must be picked j

up expeditiously upon receipt of the notification.

5.3 The package will be inspected for damage or evidence of un-authorized opening.

I 5.4 The package shall be physically surveyed at the surface and at three (3) feet from the surface with a calibrated survey instrument within three (3) hours after a receipt (or within 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> if receipt is made after normal working hours).

5.5 If the rading at the surface is in excess of 200 MR/HR, the i

emergency procedure (RS-Gp-5) will be invoked immediately andj the Radiation Safety Director will be notified.

5.6 If the radiation levels are within the limits given in Para-i graph 5.5, the source may be placed in storage or transferred, to an exposare device.

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5.7 The following iniormation will be recorded on the "Radioactive Material Receiving Report":

A.

Name of shipper B.

Date received I

C.

Shipping container model number 1

D.

Shipping container serial number i

E.

Source type F.

Source serial number I

G.

Source strength i

H.

MR/HR at container surface and at 3 feet from the surfacea I.

Initials of person receiving source 5.8 Retain a copy of the Receiving Report (Form #1003) at the applicable Branch / Field location and forward the original i

to the Radiation Safety Director.

e RS.CP-12 ISSUE DATE 007. 1 9 1967 PACE 3 or la i

REVISIlN DATE

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Jr l PROCEDURE SHIPPING, RECEIVING AND TRAMSPORTING IDENTIFICATION RADIOACTIVE MATERIAL 6.0 SHIPPING SOURCES VIA CARRIER 6.1 Secure the source in the proper source changer or the expo-l sure device, whichever ic being shipped, and verify that there are no significant defects in the container.

6.2 Attach the lead-wire security seals.

1 6.3 Certain devices will be shipped in an overpack, as required by Table 1 of this procedure.

A.

The container will be placed in the overpack and blocked in the center to prevent shifting during transit.

B.

The everpack will be securely closed to prevent loss or k

shifting of the contents.

Any crate or box shall be strong enougu to survive under conditions normally in-cident to transportation, such as being dropped or rough 4 ly handled.

i C.

Each package will have some type of scaling device, which[!

is not readily breakable and which, while intact, will i

be evidence that the package has not been illicitly i

i opened.

s D.

The following should appear on the outside surface of thei box or crate (NOTE:

Lettering must be at at least high) :

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1.

"RADIOACTIVE MATERIAL--SPECIAL FORM, N.O.S.--UN 2974" '

2.

"INSIDE PACKAGE COMPLIES WITH PRESCRIBED SPECIFICA-S TIONS" i

3.

(Applicable specification number from Table 1) 4.

(Gross weight of package) lb 6.4 Determine the proper shipping labels to be applied to the package based on radiation levels according to the following criteria (both readings will apply) :

(See Attachment 1 & 2)

RS-CP-12 ISSUE DATE OCT. I 91987 PAGE 4 0F 14 j REVISION DATE q

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BOX 451 DEERFT. ELD, OH 44421 PROCEDURE SHIPPING, RECEIVING Ah TRANSPORTING RADIOACTIVE MA,TERIAL 6.0 SHIPPING SOURCES VIA CARRIER (cont.) 6.4 i

LABEL DESIGNATION MR/HR AT ANY AND MR/HR AT 3 FEET J ALL SURFACE POINTS FROM SURFACE RADIOACTIVE WHITE -1 0.5 OR LESS 0

RADIOACTIVE YELLOW -II 50 OR LESS 1.0 OR LESS RADIOACTIVE YELLOW -III 200 OR LESS 10 OR LESS The radiation levels will be determined by using a calibrated survey instrument.

(See Figures 1,

2,

& 3 of Attachments 1 & 2 for label identification).

J CAUTION--Over-labeling is considered as undesirable as under-labeling.

6.5 Properly complete two (2) shipping labels indicating the con 1

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tents (Iridium 192, Cobalt 60, etc.), the number of curies, I

and the Transport Index.

(The Transport Index is the dimen-i j

sionless number (rounded up to the first>3ecimal place) ex-4 f

pressing the maximum radiation level in MR/HR at 3 feet from the package surface (used on Yellow--II or III labels only).

i 6.6 Apply the two (2) properly completed labels to two (2) opposite sides of the package, one being placed near the j

address label.

Be certain to remove any traces of old labels.,

1 6.7 The following information vill be indicated on the shipping 1

papers (bill of lading):

6.7.1 "RADIOACTIVE MATERIAL--SPECIAL FORM N.O.S - UN 2974" J

6.7.2 Type of source (Iridium 19?, Cobalt 60, etc.)

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6.7.3 Curie strength of source 6.7.4 Label type (from Paragraph 6.4) required 6.7.5 Transport Index (f rom Paragraph 6. 5).

J 6.7.6 Source serial number 6.7.7 Container model number and serial number RS-CP-12 ISSUE DATE OCT.191997 PACE 5 OF 14 j

REVISION DATE

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P.O. BOX 451 DEERFIELD, OH 44411 PROCEDURE SHIPPING, RECEIVING AND TRANSPORTING IDENTIFICATION RADIOACTIVE M g ERIAL 6.0 SHIPPING SOURCES VIA CARRIER (cont.) 6be 6.7.8' Container specification number (from Tabte 1) 6.7.9 Date of shipment 6.7.10 Name and address of shipper (Bran-Shon, Inc. and local; addresp) 1 6.7.1,1 Name and address of consignee 6.7.12 The fM1owing statement- " All shipping procedure duqudrements have been satisfied."

6.7.13 The following statement- "This is to certify that the 2bove named materials are properly classified, de-scribed, packaged, marked, and labeled, and are in prope.r condition for transportation, according to the applicable regulations 6f the Department of Trans-i portation."

6.7.14 Signature and title of person making the shipment.

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6.8 If shipping a source by air (ONLY cargo aircraft are permit-ted to carry these materials), the following shall also apply:!

h Add "cab.;C-ONLY AIRCRAFT" to item (A) of paragraph 6.7.

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Complete two ( 7. ) copies of the "air certification" form

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indi ating:

"This shipment is within the limitations prescribed for Cargo-Only Aircraft."

E Apply one (1) "Cargo-Only Aircraft" label (see Figure 4 of Attachment #2) 6.9 A copy of the shipping papers will be retained in the source records book and a copy will be forwarded to the Radiation Safety Director.

6.10 When shipping a source to another Bran-Shon, Inc's location, the following will also be observed:

I RS-GP-12 ISSUE DATE OCT. ! 91987 PAGE 6 0F I4 I

REVISION DATE

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PROCF9URE SHIPPING, RECEIVING ARD TRANSPORTING IDENTIFICATION RADIOACTIVE MATERIAL mam y_

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j TABLE 1

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CONTAINER CURIE REQUIRED SPECIFICATION MODEL NO.

CAPACITY OVER FACK d

T/O 660 100 ci IR192 Wooden Crate USA /9033/B(u) f or Metal Box Type-B

< T/0 900 100 ci IR192 Wooden Crate USA / 9141/B(u)

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or Metal box Type B

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j 4/O 680 100 ci CO60 Wooden Crate U$A/ 903 5/B (u )

/

or Metal Box Type-B T/O 650 100 ci IR192 None USA /9033/B(u)

Type-B g

T/O 850 200 ci IR192 None USA / 914 7/B (u) i i

po-B ie, T/O 771 100 ci CO60 None USA /9107/B(u)

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Type-B 3

G/I Century S 100 31 IR192 f6717 Shipping USA / 913 5 / B (u )

+

Bar.e1 Type-B C/I Century SA 100 cfilRf92 8(717 Shipping USA / 913 5 / B (u )

/

Warre!

Type-B p

G/I Gar. matron 100A 100 ci Ct,60

, None USA /9127/B(u) /

Type-B G/I C-10 100 ci IR192 46717 Shipping US A/ 913 3/ B (u )

Barrel Type-B l

G/I C-8 100 ci CO60 G/I Shipping US A/ 9128 /B (u )

Barrel Type-B

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SPEC-2?

100 ci IR192 SPEC 9 hipping U 3A/ 9 0 5 6/B (u )

i Barrel Tyt.e-a i

SPEC-CO60 Model I 100 ci CO60 DOT-20WC SPEC-C1 100 ci IR192 SPEC Shipping U3 4/ 9 03 6 /B (u )

Barrel Type-B 1

er RS-GP-12 ISSUE DATE OCTOBER 19, 1987 PAGE 7 0F 14 REVISION DATE WILlGB J

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BOX 451 DEERFI ELD, OH 44411 PROCEDURE l

SHIPPING, RECEIVING AND TRANSPORTING IDENTIFICATION RADIOACTIVE MATERIAL 6.0 SHIPPING SOURCES VIA CARIER (cont.) 6.10 A.

The responsible person at the destination will be noti fled by phone of the source transfer when applicable.

B.

The source record book will be forwarded with the source 6.11 See procedure 7.0, Transporting Sources, if the source is to be delivered to the carrier's terminal.

7.0 TRANSPORTING SOURCES VIA BRAN-SHON, INC.S' VEHICLE 7.1 Prepare the package for shipment in accordance with Para-graphs 6.1 through 6.6 of Section 6.0 (if shipping or transporting) ur pick up the package at the carrier's term-inal (if receiving--see Section 5.0.)

7.2 The container or crate will be loaded onto Bran-Shon, Inc.'s transporting vehicle and properly secured so that it will not shift during transit.

To properly secure the container or crate blocking or rigging shall be used.

The container or crate shall be locked by padlock a chain to prevent un-unathorized removal.

If the container or crate is transport ed in Bran-Shon's portable darkroom laboratory,the lab door shall be locked and the proper posting displayed.

IDIE: IF AN NIIODBIII IS USED, 'IIIE PAQUCE WILL BE RFrT1 RED IN 'IHE 'IRUNK.

7.3 A radiation survey of the vehicle will be taken to ascertai.1 that the radiation level in the driver / passenger compartment and at 18 inches from any and all outside vehicle surfaces is no more than 2 MR/HR.

(Lead or other s leiding material shall be added, if necesssary, to reduce radiation levels to meet these requirements).

7.4 A calibrated and usable survey instrument will be carried in any vehicle transporting a by-product material.

7.5 If the package bears Radioactive Yellow--III labels, four(4)

"RADIOACTIVE" placards shall be affixed to the vehicle; one on the front, one on each side, and one on the rear.

RS-CP-12 Issor natr OCTOPFA 19.

1997 PAGE 8 0F 14 REY 1SION DATE i

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P.O. BOX 451 DEERFIELD, OH 44411

. _ w3 PROCEDURE SHIPPING, RECEIVING AND TRANSPORTING DEN W ICATION RADIOACTIVE MATERIAL 7.0 TBANSPORTING SOURCES VIA BRAN-SHON, INC.'S VEHICLE (cont.) 7.5 i

7.5.1 When transporting Radioactive Yellow Class III mater-j ial, the following additional conditions shall be met: ;

L At least 3 standard emergency flares or reflectors,

shall be placed on the vehicle.

1 L

A fire extinguisher having a rating of at least 10,

B.C.

shall be placed on the vehicle where readily accessible if needed.

3.

The driver shall incoect for proper working condi I

tion before transport the following itema.

E service and emergency brakes

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rear-vision mirror B.

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L horn D.

steering machanism E.

lighting devices and reflectors s

l L windshield wipers E

tires

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7.6 Routes shall be chosen which avoid heavily popult.ted areas, j

tunnels, narrow streets, etc., and which, to the extent possi-$

ble, minimize time in transit.

Interstate highway routet are preferred.

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CAUTION:

Certain roads, generally State thruways or turnpikes i prohibit the passage of vehicles carrying radio-4 active materials or require special permits.

En-trances to these roadways are posted.

Unless ad-vised by the Radiation Safety Director that proper permits have been obtained, no attempt will be made by Bran-Shon, Inc.'s controlled vehicles to use prohibited roads.

RS.CP-12 ISSUE DATE OCT.191987 PAGE 9 0F14 i

REV;5 ION DATE

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P.O. BOX 451 DEERFIELD, OH 44411 PROCEDURE SHIPPING, RECEIVING AND TRANSPORTING IDENTIFICATION RADIOACTIVE MATERIAL 7.0 TRANSPORTING SOURCES VIA BRAN-SHON, INC.'S VEHICLE 7.7 A qualified and certified Radiographer or Assistant Radiogra-l pher will accompany the vehicle driver or drive the' vehicle himself.

7.8 The Radiographer or Assistant Radiographer will wear his dosimeter and TLD badge, and bring with him his copy of Bran-l Shon, Inc.'s Radiation Safety Manual.

7.9 A shipping document is required to be visibly displayed withinl the immediate reach of the driver of the vehicle at all times I when radioactive materials are on that vehicle, as follows:

A.

If receiving a source at a carrier's terminal, the shipping documents from the shipper shall be used.

B.

If delivering a source to a carrier's terminal, the ship

,1 ping documents from Section 6.0, Paragraph 6.7, shall be used.

j C.

If transferring a source, the appropriate entries shall f

be made on The Radiographic Operation Report in the source) book, and it shall be used.

l 8.0 RECEIVING EMPTY DEPLETED URANIUM CONTAINER FROM A CARRIER 8.1 If a radioactive material package is delivered by the carrier, it must be accepted at the time it is delivered.

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8.2 If a radioactive material package is to be held at the car-rier's terminal for pick up, arrangements must be made to I

receive notification from the carrier of the arrival of the package at the time of arrival.

The package must be picked up(

expeditiously upon receipt of the notification (See Section

10. 0).

j 8.3 The package will be inspected for damage or evidence of un-authorizcd opening.

i RS-CP-12 ISSUE DATE g j g jgp7 P A GE l 0 Or a r, j

REVISION DATE

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BOX 451 DEERFIELD, OH 44411 PROCEDURE SHIPPING, RECE.VING AND TRANSPORTING IDENTIFICATION RADIOACTIVE MATERIAL 8.0 RECEIVING EMPTY DEPLETED URNAIUM CONTAINER FROM A CARRIER 8.4 The applicable spaces on the Receiving Report will be com-pleted and a copy forwarded to the Radiation Safety Director.

9.0 SHIPPING EMPTY DEPLETED URANIUM CONTAINERS VIA CARRIER 9.1 The empty container will be secured and sealed, as if a source was being shipped.

j 9.2 A tag shall be wired or taped to the device indicating the following:

A.

Nam of consignor (Bran-Shon, Inc.'s address and phone number)

B.

The following statement "EMPTY DEVICE-THIS PACKAGE CONFORMS TO THE CONDITIONS AND LIMITATIONS SPECIFIED IN 49 CFR 173.424,

FOR EXCEPTED RADIOACTIVE MATERIAL.

ARTICLES MANUFACTURED FROM DEPLETED URANIUM, UN 2909.

I 9.3 The container will be placed in a wooden crate or metal box

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(minimum outside dimensions-2" larger than container dimen-

[

sions) and blocked in the center of the box or crate to pre-l vent shifting during transit.

(The radiation level at the i

box surface must not exceed 0.5 MR/HR.)

l 9.4 The crate or box will be securely closed to prevent a loss or,

shifting of the contents.

It shall be strong enough to sur-3 vive under conditions normally incident to transportation, j

such as being dropped or roughly handled.

I 9.5 Each package will have some type of sealing device, which is i

not readily breakabic and which, while intact, will be evi-dence that the package has nc-been illicitly opened.

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9.6 No special markings or labels.re required on the outside of the crate or box.

Be certain to remove or completely oblit-erate any traces of old markings or old shipping labels.

i PACE 11 0F 14 RS-UP-12 ISSUE DATE g ; g jgp

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f REVISION DATE j

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BOX 451 DEERFIELD, OH 44411 PROCEDURE SHIPPING, RECEIVING AND TRANSPORTING IDENTIFICATION RADIOACTIVE MATERIAL 9.0 SHIPPING EMPTY DEPLETED URANIUM CONTAINERS VIA CARRIER 9.7 No special shipping paper entries are required.

The device shall be identified as "inspection equipment".

9.8 No special requirements are necessary for air shipments.

Empty devices can be transported on both cargo and passenger a

carrying aircraft.

9.9 When shipping an empty container to another Bran-Shon, Inc.

location, the responsible person at the destination will be notified by phone concerning the transfer.

9.10 See Section 10.0 if the container is to be delivered to the carrier's terminal.

J 10.0 TRANSPORTING EMPTY DEPLETED URANIUM CONTAINERS VIA BRAN-SHON, INC.'S VEHICLE 10.1 Prepare the container for shipment in accordance with Para-J graphs 9.1 through 9.5 of Seation 9.0 (if shipping or I

transporting) or pick up the package at the carrier's termin al lif receiving--see Section 8.0).

10.2 The box or crate will be loaded onto Bran-Shon, Inc.'s transporting vehicle and properly secured so that it will not.

i shift in transit.

It will be locked in some manner to prevent unau:horized removal.

i NOTE:

If an automobile is used, the package will be secured in the i

vehicle's trunk.

10.3 There are no spceial requirements for displaying shipping i

papers.

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bW PAGE 12 0F 14 j RS.GP-12 ISSUE DATE REVISION DATE T

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s;;;;L P.O. BOX 451 DEERFIELD, OH 44411 PP,0CEDURE SHIPPING, RECEIVING AND TRANSPORTING IOENTIFICATION RADIOACTIVE MATERIAL EIGURE I 9

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RS-GP-12 l

ISSUE DATE PAGE 13 0F 14 REVISION DATE l

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P.O. BOX 451 DEERFIELD, OH 44411 RECORD FORMS FORM

  1. 1001 RADIOGRAPHIC OPERATIONS REPORT, SOURCE UTILIZATION, INSPECTION
  1. 1002 QUARTERLY INVENTORY RECORD
  1. 1003 RADIOACTIVE MATERIAL RECEIVING REPORT SAMPLE FORMS 1.

WEEKLY TIME SHEET / DOSIMETER LOG 2.

LEAK TEST FORM--TECH / OPS MODED 518 3.

LEAK TEST FORM--HEALTH PHYSICS NO. HP-C2 4.

LEAK TEST FORM--GAMMA INDUSTRIES KOWIPE 5.

SHIPPING / CERTIFICATION FOR RADIOACTIVE MATERIAL 6.

D.O.T.

SHIPPING CERTIFICATE 7.

RADIOACTIVE SOURCE EXCHANGE QUALIFICATION 8.

LEAK TEST RECORD 9.

LEAK TEST QUALIFICATIONS 10.

VEHICLE ACCIDENT NOTICE 11.

RADIATION SAFETY INCIDENT DATA REPORT 4

BRAN-SH0N, INC.

ns-ce-is PAGE 2 0F 15 RADIOGRAPHIC OPERATIONS REPORf Port A: Woming: Intentonal Failure to Record informaton Accurately on this Form May Result in a ans and/or Disciphnary Acton.

LCCATION of Source Use: City State Dat-District / Brance CUSVOMER PROJECT:

Job No Port B: "Source of Radiatkwn"

  • Projector" "Survey Instrument" It Co X Ray Model No S/N Model No.

S/N Model S/N in Storage CalDue Actr:nty cunes Storage Dates.

Backup Meter S/N.

(1 wk maximum)

Port C: Transport To (Locauon from Part A): Truck / Vehicle No.

(Complete maf*aNa coeumn(s) 1&2, or 243, or 4)

1) Placing Progector in vehicle.
2) Vehicle Placarded Yes No 3) Protector remanng en 4)Not transported (X) l mr/hr surface Storage container mr/hr @ 18" from vehicle verucle from previous Transport index (0.1 10 0) mr/hr @ driver transport Label class: 1 il til Transport inden Label Clast 1 R

lil Matenal prepared lor transport m accordance wrth wntten procedures by the Radiographer signed below (Part H).

)

RESULTS OF PHYSICAL SURVEY mr Part D: Red 6ograph6c Operations.

61 De#y Equipment inopoetion Check List (X) OK (NA) Not Appbcable (*) See Remarks A Survey Protector for Excessive Radebon Leveds

^

A Protector inspected for damage to fttungs, locks, and labeds j

mr mr i

c Control Cab 6e and Frtungs checked for cuts, breaks. or looseness h_ Crank inspected lor looseness y

r Control checked lor treedom of cab 6e movement fl I

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_r. Guide tute espected br cuts, crustung. and broken or loose fengs It.

a Coitimator Of used) cr.ecke$ lor secure attachment g,,

61 Pipe pos/ toner Of used) checked for damage and tecure attachement 1

Maint especton periorme$ or wrtnese by the Radographer sagned below (Part H) mr et It.

Segns Fbpe Exposure Room Constant Survedance Port E: Securing Radlographlc Operstkms:

Length of Exposure Record of physical survey raade e determine source is m sh>e6ded posston when Number of Exposure secunng exposure device mr/hr @ surface or at 6" from device as required Totai Exposure Time hr run.

Survey periormed or weessed by Radiographer s+gned below (Par *. H)

Part F: Trenaport FronVRetum: Destinetkm: City Stata Location TrucA/Vehic6e No.

(X) if same as Port C (Complete the applicable column (s) 1&2, or 3, or 4)

1) Ptacmg Protector in vehicle.
2) Vehicse Placarded Yes No 3) Protector not used or
4) WJt t ansported rX) mr/hr suriace Storage container mi/hr @ 18" from vehele removed from vehicle Transport index p1 100) mr/hr @ dnver (X)

Label Cnast i R

in Matsnal prepared lor transport en accordance w1h wrmen proce$ures by the Radographer sgned below (Part HK Part (9 Storage Survey-mr/hr aten the protector is puced in storage, as performed m accordance wrth 10 CFR 34 43 (d) Survey Periormed or weessed by Radiographer segned below (Part H)

(Survey etien the protector is placed an the storage vault or other approved storage locadort)

(When the protector is stored m the vehicie this survey shrJi be the same as Part F Column 1 kne 1)

Part H:

The Be6ow signed _mdeviduaks) herein venftthat the above hsted mtormanon (Part A thru Part G) is accurate and has been comp 6etos in accordance wrth Bran-shon, Jrc, lucense procedures, State, and Federal Regutabont in addton, the above named matena's have been property class 4ed, descreed, packaged, marted, and labe6ed and are o proper condton for transport according to the applicab6e regulatons of the Department of Transportabon.

RADIOGRAPHER RADeOGRAPHERS ASSISTANT:

Remarks FOM #1001

RS-CP-15, PAGE 3 0F 15 BRAN-SH0N, INC.

RADIATION RECORD FORM BYPRODUCT RADI0 ACTIVE MATERIAL QUARTERLY INVENTORY CERTIFICATION The individual signing below herein certifies that this Radioactive Mater-ial Inventory Report has been completed in accordance with Bran-Shon, Inc.

Procedure No. 13 and USNRC 10 CFR 34 Part 34.26 for the l

calendar quarter of 19 INVENTORY REPORT l

Date of Inventory Individual Performing Inventory I

Location of below listed material I

EXPOSURE DEVICE SEALED SOURCE l

l SERIAL NUMBER MODEL NUMBER MR/HR 0 SURFACE ISOTOPE SERIAL NUMBER CURIE CONTENT Inventory Performed by FORM #1002

bia.t2-Oll,

tid.

4 or 15 P.O.

BOX 451 DEERFIELD, O!! 44411 "RADI0ACT.IVE MATERIAL RECEIVING REPORT" RECEIVING DATE:

TIME RECEIVED:

LOCATION:

MATERIAL RECEIVED FROM:

CARRIER:

RADIOACTIVE MATERIAL TYPE:(IR192)

( C060)

(OTHER)

SOURCE SERIAL #

ACTIVITY REMARKS:

CONTAINER TYPE: SOURCE CHANGER MODEL#

SERIAL #

EXPOSURE DEVICE MODEL#

SERIAL #

PHYSICAL RADIATION SURVEY OF CONTAINER:

RADIATION LEVEL 9 EXTERNAL SURFACE MR/HR RADIATION LEVEL @THREE(3) FEET FROM EXTERNAL SURFACE MR/HR RADI0 ACTIVE YELLOW LASEL TRANSPORT INDEX IS SOURCE ACCOMPANIED BY: DECAY CURVE EVIDENCE OF LEAK TEST IF SOURCE IS RECEIVED IN SOURCE CHANGER, WHAT DEVICE IS SOURCE TO BE INSTALLED IN?

~

EXPOSURE DEVICE: MODEL#

SERIAL #

    • NOTES **

The container snall be surveyed within three(3) hours after receipt during working hours, or within eighteen (18) hours i

if received after working hours.

Radiation levels should not exceed the, following; j

i 200MR at the surface cf the container 10 MR at three (3) feet from the surface of the container IFMEDIATELY NOTIFY THE RADIATION SAFETY 0! RECTOR IF THE RADI ATION LEVELS EXCEEDS THE LEVELS SPECIFIED ABOVE.

Signature DATE FORM #1003

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RS-GP-15 PAGE 9 0F 15 P.O.

BOX 451 DEERFIELD, Oli 44411 "SHIPPING / CERTIFICATION DOCUMENT FOR RADI0 ACTIVE MATERIAL" SHIPPED TO:

CARRIER:

WEIGHT: _

PROPER SHIPPING NAME RADIOACTIVE MATERIAL RADIOACTIVE MATERIAL SPECIAL FORM N.O.S.'*UN-2974" L.S.A.,

N.O.S.

"EXPOSURE DEVICE AND MATERIAL IDENTIFICI. TION" EXPOSURE DEVICE SERIAL N_0.

SOURCE NO.

NRC CERT. OF"COMP.

TYPF OF PACKACF USA /9033/B(U)

TYPE B T/0 660 US A/914 VB(U)

TYPE A T/0 900 USA /9035/Bf0)

Tver n T/0 680 G/I CENTURY S (NEW)

USA /9135/B(U)

TYPE F G/I CENTURY SA (NEW)

USA /9135/B(U)

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TYPE B T/O 771 US A /913 YB( U )

TYPE B G/I C-10 USA /9128/B(U)

TYPE B G/I C-8 USA /9036/B(U)

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SHIPPERS CERTIFICATInN the above named naterials are properly classified, described, packaged, This is to certify thatand are in proper condition for transportation according to the applicable and labeledt of the DEPARTMENT OF TRANSPORTATION (D.O.T.)

TRANSPOPTATInN BY AIR

'Ihis shipment is within the limitations prescribed for cargo - only aircraft.

TJ A T E SIGNATURE

% a.,um_ _ _ - ---= %w

.. c.12 g; u u sw u. -g ms aa%wwg icy.gg.2, ---

RS.CP-15 gg 0 72,,

/2.C.

PAGE 10 0F 15 P.O.

BOX 451 DEERFIELD, Oli 4 4411 "DEPARTMENT QF TRANSPORTATION ( D.O.T. ) SHIPPING CERTIFICATE" NRC PACKAGE APPROVAL #

TRUCK / VEHICLE #

DRIVER RADIATION SURVEYS:

SURFACE OF TRANSPORT CONTAINER MR/HR THREE (3) FEET AWAY FROM CONTAINER MR/HR TRANSPORT INDEX: ( 0.1 to 10.0 )

HR/HR RADIOACTIVE YELLOW LABEL: CLASS I CLASS II CLASS III

( ) MOBILE LAB

( ) PRIVATE VEHICLE

( ) COMPANY CAR MR/HR LEVE1.-AT DRIVER MR/HR LEVEL AT PASSENGER TYPE OF RADIOACTIVE MATERIAL-( ) IR192

( ) C060

( ) OTHER EXPOSURE DEVICE: MO D E L #..

SERIAL #

SbuRCE MODEL#

ACTIVITY CURIES

  • *N O T E *
  • THE RADIOACTIVE MATERIAL AND VEHICLE COVEREO IN THIS CERTIFICATE-IS CONSIDERED "SOLE USE" FOR BR AN-Sil0N, INC.

IT IS THE RESPONSIBILITY OF THE RADIOGRAPHER TO COMPLETE THIS FORM FOR EACH SHIPMENT OF RADIOACTIVE MATERIAL USED IN "SOLE USE" VEHICLES FOR BRAN-SHON, INC.

RADIOGRAPHER:

DATE:

qag og,

/IC RS-GP-15 PAGE 11 0F 15 P.O.

BOX 451 i

DEERFIELD, OH 44411 RADI0 ACTIVE SOURCE EXCHANGE QUALIFICATION" THIS IS TO CERTIFY THAT:

NAME:

NDE QUALIFICATION / CERTIFICATION:

WAS GIVEN A DEMONSTRATION OF SOURCE CHANGES NAME USING THE FOLLOWING AUTHORIZED SOURCE CHANGERS:

( )

TECH /0PS 770,771 - capacity of 250 curies o f cobalt 60

( )

TECH /0PS 650 capacity of 100 curies o f i ridium 192

( )

TECH /0PS 850 capacity o f 200 curies o f i ridium 192

( )

G/I C-8 capacity of 200 curies o f cobalt 60

(*)

G/I C-10 capacity of 100 curies o f iridium 192

( )

SPEC-Cl capacity of 200 curies of i ridium 192 THE AB0VE RADIOGRAPHED H AS DEMONSTRATED COMPETEN CE IN CHANGING 0F THE SOURCE (S) USING THE MANUFACTURERS SOURCE CHANGE P RO CE n'IR E S.

THIS CHANGE WAS DEMONSTRATED AND SUPERVISED BY BRAN-SHON'S RADIATION SAFETY DIRECTOR AN0/0R THE MANilFACTURERS qilALIFIEn REPRESENTATIVE.

WITNESSED BY:

DATE:

RADIATION SAFETY DIRECTOR APPROVED BY:

DATE:

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- -- ew w ee-w---

-w

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w w----

- - - -.r,

..,3-ww-w.

.-- - -... -...~-

- -... =..

%aa.c%a, Linc.

l RS.GP-15 i

PAGE 12 0F 15 P.O.

BOX 451 DEERFIELD, Oli 44411 l

"LEAK TEST RECORD" SOURCE MODELs SERIAL #

)

ACTIVITY CURIES DATE RECEIVED:

RECEIVED FROM:

DATE OF MANUFACTURERS LEAK TEST:

LEAK TEST DUE DATE:

( ) HP-C2 LEAK TEST KIT HEALTH PHYSICS ASSOCIATES

~

( ) T/0 518 LEAK TEST KIT TECHNICAL OPERATIONS

( ) K0 WIPE LEAK TEST KIT, GAMMA INDUSTRIES RESULTS OF LEAK TEST:

REMARKS:

l LEAK TEST PERFORMED BY:

0 ATE:

i l

-,-----------------------,-,~--i

An-JLu, Buc.

Fii',1, i

I P.O.

BOX 451 DEERFIELD, OH 44411

(

"RADI0 ACTIVE LEAK TEST PROCEDURE QUALIFICATIONS" THIS IS TO CERTIFY THAT:

NAME:

NDE QUALIFICATION / CERTIFICATION:

WAS GIVEN A DEMONSTRATION TO PERFORM A LEAK TEST USING:

( )

HP - C2 LEAK TEST KIT, HEALTH PHYSICS ASSOCIATES

( )

TECH /0PS S18 LEAK TEST KIT, TECHNICAL OPERATIONS

( )

K0 WIPE LEAK TEST KIT, GAMMA INDUSTRIES THIS TEST IS TO BE PERFORMED USING THE INSTRUCTIONS SUPPLIED BY THE MANUFACTURER WITH THE LEAK TEST KIT AND SHALL COMPLY THE PROVISIONS 1F BRAN-SHON, INC.'s USNRC LICENSE CONDITIONS.

1 i

THE ABOVE TECT HAS BEEN DEMONSTRATED TO THE SATIFACTION OF THE RADIAT 0N SAFETY DIRECTOR OF BRAN-SHON, INC.

l WITNESSED BY:

DATE:

RADIATION SAFETY DIRECTOR APPROVED BY:

DATE:

RS-GP-15 f

.t a r2 -

10/2, flC.

PAGE 14 0F 15 P.O.

DOX 451 DEERFIELD, Oli 44411 i

NOTICE i

In: case of nii accidesit liivolvisig tiils <clilcle f

IMMEDIATELY NOTIFY:

B R A N - S H 0 fi, INC.

1028 Lower Elkton Rd.

Columbiana, Ohio (216) 482-9922 i

I OR BRAN-SHON, INC.

P.O.

BOX 451 Deerfield, OHIO 44411 (216) 654-4905 l

0llLL)...............MIKEJ.

l MEDAL-RA01ATION SAFETY DIRECTOR 5

A15 (216) 4P2-9922 -SHOP q

iiotipAYS (216) 877-940 3 -HOME CHilCK P10 0 R E - P R E S I D E N T j

(216) 4R?-9922 SHOP j

(216) 654-2910 - HOME i

I i

i i

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-.... ~

a..

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.c.

7.Q n - b O n.

YMC Rs-cP-15 PAGE 15 of 15 P.O.

BOX 451 DEERFI ELD, O!! 44411 "RADIATION SAFETY INCIDENT DATA REPORT"

    • THIS REPORT IS TO BE COMPLETED WITHIN 24 HOURS AND IMMEDIATELY F0 WARDED T0.THE RADIATION SAFETY DIRECTOR IN THE EVENT THAT:

1.)

Any emergency situation defined'in Bran-Shon's Radiation Safety Manual Section 5. Emergency Procefure that may have occured.

2.)

Your film badge /TLD becomes wet, mutilated, or lost.

3.)

You have reason to believe that your film badge /TLD may indicate an excessive exposure that you may not have received.

(complete all items)

NAME:

SIGNATURE:

WORK LOCATION:

DID YOU STOP RADIOGRAPHIC OPERATIONS IMMEDI ATELY?

yes no DID YOU NOTIFY YOUR RADIATION SAFETY DIRECTOR?

yes_

no WHEN?

DATE:

TIME:

EQUIPMENT: EXPOSURE DEVICE: MODEL#

SERIAL #

SOURCE SERIAL #

ACTIVITY CllRI E S SURVEY INSTRUMENT:MODEL#

SERIAL #

CAL.nATE:

SECTION-2 (to be completed in the event that #2 above occured)

EXPLAIN IN DETAIL HOW YOUR FILM BADGE /TLD BECAME WET, MUTILATED, OR LOST.

(USE REVERSE SIDE OF REPORT)

SECTION-3 (to be completed in the event that #3 above occured)

WHERE WAS YOUR FILM BADGE /TLD LOCATED WHEN YOU BELIEVED IT WAS EXPOSEn TO RADIATION:

HOW MUCH RADIATION 00 YOU RELIEVE YOUR FILM BADGE /TLD RECEIVE 07 20-100MR 100-300MR 300-600MR ABOVE 600MR WHY WERE YOU NOT WEARING YOUR FILM BADGE /TLD?

EXPLAIN EXACTLY EVERYTHING THAT OCCURED. (use reversed of report)

ON THE REVERSE SIDE OF REPORT INCLUDE ALL OTHER' INFORMATION WHICH Y0l' FEEL IS PERTINENT.

__

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